All states › Texas › Floresville › Prairie Meadows Rehabilitation and Healthcare Center
1615 Eleventh St Floresville, TX 78114 · Wilson County
All 3 nursing homes in Floresville, TX (3 take Medicaid)
CMS certification number 675446 · See this home on Medicare Care Compare
Is Prairie Meadows Rehabilitation and Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Prairie Meadows Rehabilitation and Healthcare Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.52 hours per resident per day at Prairie Meadows Rehabilitation and Healthcare Center, above the Texas median of 3.30 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 3.14 hours, 11% below its all-week average. 35.7% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Prairie Meadows Rehabilitation and Healthcare Center: Medicare and Medicaid
Prairie Meadows Rehabilitation and Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 29, 2025 and found 5 deficiencies, plus 10 from complaint inspections in the same period. In total, inspectors issued 27 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 27 citations at Prairie Meadows Rehabilitation and Healthcare Center across 8 inspection dates, 20 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 4, 2026 (complaint inspection). The most common areas cited were quality of life and care (7) and nutrition and dietary (5). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level J, January 4, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 26, 2026 · 2 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DProvide and implement an infection prevention and control program.
February 20, 2026 · 3 citations · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 4, 2026 · 5 citations, includes immediate jeopardy · includes complaint inspection
JDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
JMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DKeep residents' personal and medical records private and confidential.
DProvide and implement an infection prevention and control program.
August 29, 2025 · 5 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProvide safe and appropriate respiratory care for a resident when needed.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CDispose of garbage and refuse properly.
June 6, 2025 · 2 citations · includes complaint inspection
DEmploy staff that are licensed, certified, or registered in accordance with state laws.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 27, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CPost nurse staffing information every day.
July 26, 2024 · 5 citations · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
June 9, 2023 · 2 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Questions to ask on a tour of Prairie Meadows Rehabilitation and Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on January 4, 2026 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 27, 2024. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 55% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $33,059 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 4, 2026 | Fine | $19,432 |
| Nov 27, 2024 | Fine | $13,627 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
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Location
Hospitals near Prairie Meadows Rehabilitation and Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.7 mi
Connally Memorial Medical Center FloresvilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 56m for patients treated and sent home
- 23.6 mi
- 23.8 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Prairie Meadows Rehabilitation and Healthcare Center › All nursing homes in Floresville ›
Compare Prairie Meadows Rehabilitation and Healthcare Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Harmony Care at Floresville · Floresville · 2 stars · 0.6 mi
Other Nexion Health nursing homes in Texas
- Whispering Springs Rehabilitation and Healthcare Center · Carrizo Springs · 5 stars
- Renaissance Rehabilitation and Healthcare Center · Italy · 5 stars
- Pecan Creek Healthcare Center · Hamilton · 4 stars
- Cross Timbers Rehabilitation and Healthcare Center · Flower Mound · 4 stars
- Coleman Healthcare Center · Coleman · 4 stars
- Arbor Hills Rehabilitation and Healthcare Center · Eagle Lake · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 51 Nexion Health nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.